Minimalist three-dimensional thoracoscopic extended thymomectomy in a patient with myasthenia gravis

Thymoma represents a relatively rare slowly growing tumor of the thymic gland. Complete thymomectomy along with all thymic and peri-thymic tissue is recommended to reduce risks of recurrence and proved to be beneficial for patients with associated myasthenia gravis (MG). Various surgical approaches have been advocated for thymomectomy and in recent years, use of video-assisted thoracoscopic surgery (VATS) has become more and more popular. Moreover, combining minimally invasive approaches together will have an excellent impact on the very early post-operative outcome. We report on a patient with MG who underwent a minimalist uniportal three dimensional thoracoscopic extended thymomectomy under non intubated, spontaneous ventilation anaesthesia protocol.